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- Travel, PCS and Transportation
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- Permanent Change of Station (PCS)
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- Table of Frequently Used Acronyms
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- About Medical Affairs
- Dental
- Active Duty Dental Program though July 2, 2022
- Active Duty Dental Program effective July 3, 2022
- Family Coverage: TRICARE Dental Program
- Retiree Dental Program
- Immunizations
- Periodic Health Update
- PHU FAQs
- Medical Waiver Program
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- Medical Affairs FAQs
- Tricare Active Duty Dental Program FAQs
- About Personnel & Career Management
- Awards-Officer Awards Program
- Nominations Procedures and Forms
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- Write-Up (Narrative) Guidance & Tips
- List of OPDIV Awards Coordinators (PDF, 67kb)
- List of Liaisons (PDF, 266kb)
- 2021 USPHS Awards Process Flowchart (PDF, 702kb)
- FAQs
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- DEERS Information (PDF, 139kb)
- Important Information Regarding DEERS and ID Cards During COVID-19 (PDF, 57kb)
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- Uniform Specifications
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- PHS Soft Shoulder Marks (Unisex) (PDF, 324kb)
- Medical Requirements for Promotion
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- Annual Physical Fitness Test (APFT)
- Retention Weight Standards
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- Essentials
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- Physical Training Uniform (PTU)
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- Other Links
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- Visit CDC.gov for Coronavirus (COVID-19) Public Health Updates
As Public Health Service Officers and America’s Health Responders, we stand ready to preserve public health and national security during national or global health emergencies. Our mission is to be out the door as soon as requested, as this is an “all hands on deck” situation. All Corps officers were placed on involuntary deploy or "alert" status effective Wednesday, March 25, 2020, irrespective of the 'on-call month' status. Under Commissioned Corps Directive 121.02, "Deployment and Readiness," as directed by Assistant Secretary for Health, Commissioned Corps Headquarters will deploy Commissioned Corps officers assigned to HHS OpDivs/StaffDivs, either voluntarily or involuntarily and without supervisory approval, who are not considered mission critical, for deployments, under the current National Emergency. Mission critical requests sent to CCHQ are not final until the request is approved by the CCHQ Director as per the POM 821.76 ”Deployment Procedures”. An officer with a non-HHS organization may be deployed in accordance with the Memorandum of Agreement/Understanding between the Public Health Service Commissioned Corps and the non-HHS organization.
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Medical Affairs
Medical Waiver Program
Public Health Service Officers can have health conditions that make it unsafe for them to participate in or to complete some readiness requirements. The purpose of the Medical Waiver Program is to assist the U.S. Public Health Service Commissioned Corps in implementing policies on medical and force readiness, while, at the same time, reducing the Officer’s risk of unintended injury or worsening of an existing medical condition. This program is administered by the Medical Affairs Branch (MAB) within Commissioned Corps Headquarters. Approval of Medical Waiver requests is not guaranteed. MAB has sole discretion of approval and time limitations of all medical waivers.
An officer may require a temporary medical waiver due to a medical condition that, affects his/her health status or personal well-being. Such conditions may pose specific or general physical limitations or restrictions on the officer’s ability to reach optimal medical readiness. Therefore, officers may be medically exempt from meeting one or more of the standards for medical readiness and basic level of force readiness. These exemptions are only allowed when a valid medical reason exists which is supported by appropriate medical documentation.
Long term renewable medical waivers may be granted for select permanent medical conditions. However, long term renewable waivers are not intended to permanently exempt officers from ever being deployed or having to complete the cardiorespiratory endurance section of the Annual Physical Fitness Testing (APFT).
Medical waivers are personal exemptions from performing or engaging in one or more of the following activities:
- Deployment;
- Receiving one or more immunization;
- Performance of all or part of the APFT;
- Meeting weight standards;
- Maintaining uniform requirements (e.g., beard waivers, shoe waivers);
- Completing Basic Life Support training; or
- Fulfilling other requirements necessary for meeting and/or maintaining the Basic level of force readiness.
Types of Waivers
- Temporary time-limited medical waivers may be granted for a documented health condition that is likely to improve within 12 months, or less, from the date that the request was received by MAB.
- Permanent long-term renewable medical waivers may be granted for conditions that are unlikely to improve in the foreseeable future. Examples of this type of waiver are for certain immunizations which are contraindicated in individuals with severe egg allergies or uniform (beard) waivers for individuals with certain chronic dermatologic conditions
Medical Readiness Categories (MRC)
MAB uses MRCs to communicate internally to Readiness and Deployment Branch (RDB) about an officer’s medical deployment status without disclosing protected health information. There are four categories:
- MRC-1: Fully deployable,
- MRC-2: Deployable with limitations or specific needs,
- MRC-3: Non-deployable, and
- MRC-4: Critical information pending-Currently non-deployable.
Officers are assigned an MRC after review of medical documentation by MAB. The assigned category is transmitted digitally to RDB without disclosing any protected health information.
MRC-2 assignment is usually tied to documentation submitted with a medical waiver requests. For example, an Officer needs a reliable source of electricity to operate a medical devise and requests a deployment waiver. MAB may assign the Officer an MRC-2, “requires reliable electricity.” RDB is now obliged to ensure that the Officer’s need is met wherever the Officer is deployed. Another Officer has medical conditions that will put the Officer at risk for serious infections and asks for a deployment waiver. If appropriate, rather than grant the waiver, MAB will assign the Officer to MRC-2, “No exposure to severe infections.” RDB will then only deploy that Officer if their deployment role does not require the Officer to have potential contact with serious infections. Since being able to deploy is a condition of service, assigning an Officer an MRC-2 allows the Officer to be deployable while ensuring that the Officer’s limitations or needs are considered.
Unfortunately, Officers cannot yet see their assigned MRC on their Readiness dashboard. We hope that will be possible in the future.
Clarification of Specific Medical Waivers
Pregnancy: As of January 15, 2021, there are significant changes in what is included in a Pregnancy waiver which are summarized below:
Length of Pregnancy Waiver Waiver requested
January 15, 2021
or priorWaiver requested after January 16, 2021 ≥ 20 weeks Deployment, APFT, BLS, Live virus immunizations Expires 6 months after estimated date of delivery Expires 12 months after estimated date of delivery.
NO BLS WAIVER INCLUDEDWeight Standards Expires 6 months after estimated date of delivery with an option for an additional 3 months Expires 12 months after estimated date of delivery Breastfeeding Additional 6 months after expiration of Pregnancy waiver (12 months after child’s birthday) Included in pregnancy waiver, expires 12 months after estimated date of delivery < 20 weeks Deployment, APFT, BLS, Live virus immunizations, Weight standards Not in policy Expires 6 months after termination of pregnancy.
NO BLS WAIVER INCLUDEDIf an officer’s pregnancy ends prior to 20 weeks gestation, the officer should inform Medical Affairs within 30 days by uploading a Waiver request form with the date the pregnancy ended. Please note:
The Pregnancy waiver NO LONGER INCLUDES A WAIVER FOR BASIC LIFE SUPPORT certification. If an officer knows that her BLS certification will expire during the period covered by the Pregnancy waiver, she should arrange to renew her certification early in her pregnancy or after delivery.
The readiness requirements of the annual Periodic Health Update (PHU) and annual seasonal Influenza immunization are NOT waived by the Pregnancy waiver.
Pertussis vaccine in the form of Tdap is now recommended during the third trimester of every pregnancy. If an officer’s tetanus immunization expires early in her pregnancy, to avoid being found not basic qualified, the officer should request a tetanus waiver until her third trimester.
Breastfeeding: Breastfeeding waivers are now included in the Pregnancy waiver. Requests for a breastfeeding waiver after the child’s first birthday will only be considered if there is documentation from a healthcare provider that terminating breastfeeding (not just dietary supplementation which can be done with expressed breastmilk) will significantly adversely affect the health of the officer or her child.
Retention Weight Standards: Some medical conditions or treatments can contribute to changes in weight or difficulty gaining or losing weight. When an officer requests a weight standards waiver, his/her healthcare provider must submit to MAB evidence-based data from the scientific literature regarding the effects of the condition or treatment on weight. The officer must also provide a pretreatment weight. If a waiver is granted, the extent of relaxing the standards will be based on the documented effects of the treatment. MAB will utilize peer reviewed medical literature to determine the effects of a treatment.
Submission of a Medical Waiver Request
Medical waiver requests should be submitted on the Active Duty and Reserve Corps Medical Waiver Request form (312kb, pdf) with the required medical documentation from your provider(s):
- What are your specific disabling medical diagnoses, condition(s) or disabling symptoms?
- What is your present management of these conditions or symptoms, to include diagnostic and/or treatment plan(s)?
- How does the condition(s) prohibit you from completing readiness requirements including deployments?
- What is the prognoses for your condition(s)/symptoms (if known), permanent or temporary?
- When should the waiver expire or when is the next reevaluation date?
The request form and the medical documentation must be attached as a single PDF file. Upload the single PDF file in the Medical section of eDOC-U using the document name, “Request for Medical Waiver.” Officers will not be sent a confirmation of the granting of a waiver. You can review his/her waiver status by going to their Readiness Self-Service Page, selecting the Readiness Information page, and then clicking the Waiver tab. MAB will communicate with officers if the waiver request is denied or there are questions about the request.
For more information, please contact Medical Affairs at: PHSMACCHQ@hhs.gov
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USER ASSISTANCE
Please check our Frequently Asked Questions (FAQs) . FAQs are located at the top of the page next to the search function.
Having Access Issues or Need IT Help? Please contact the Commissioned Corps Helpdesk at: CCHelpDesk@hhs.gov
COMMISSIONED CORPS NEWS
2022 Temporary Grade Promotions
CC News Announcement 2021 Permanent Grade Promotions
The Commissioned Corps Bulletin for June 2021
The Commissioned Corps Bulletin for June 2021
The Commissioned Corps Bulletin for May 2021
The Commissioned Corps Bulletin for May 2021
The Commissioned Corps Bulletin for April 2021
The Commissioned Corps Bulletin for April 2021
January 2021: United States Public Health Commissioned Corps Doctrine
The link above will take you to the Noncompetitive Promotion Roster for Promotion Year 2020.
FAQs Practice Hours and Special Pay Changes
This is first in a series of FAQs, more FAQs will be forthcoming on Practice Hours and Special Pays.
Coronavirus Disease 2019 (COVID-19) Mission - Deployments Readiness Updates
As we position ourselves to assist with controlling the spread of the Coronavirus Disease 2019 (COVID-19), please note that we’re in an “all-hands on deck” status. Messaging has gone out from the Assistant Secretary for Health reminding Commissioned Corps officers of their deployment responsibilities...
Protecting, Promoting and Advancing the Health and Safety of Our Nation. Commissioned Corps Headquarters
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